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Updated: Dec 24, 2025

Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way
Published on: May 10, 2021
No correlation between two methodological approaches applied to evaluate cervical margin relocation
Jelena Juloski1,2, Serhat KÖken1, Marco Ferrari1
1Department of Medical Biotechnologies, University of Siena.
Abstract:
The study evaluated the quality of gingival margins created by cervical margin relocation (CMR) technique using different materials and assessed the consistency of the results obtained by two in vitro methods: microleakage test and scanning electron microscopy (SEM). Mesio-occlusal-distal cavities with subgingival proximal margins were prepared. Mesial margins were elevated supragingivally with total-etch adhesive and flowable composite (Group 1) or with universal adhesive and bulk-fill flowable composite (Group 2). Distal margins were not elevated. Teeth were restored with CAD/CAM overlays. Marginal quality was evaluated by microleakage test and SEM observation of epoxy resin replicas. Statistical analyses showed no significant correlations between microleakage scores and percentage of marginal integrity observed under SEM at CMR margins, lower microleakage scores at margins without CMR compared to CMR margins, lower microleakage scores in Group 2 than in Group 1 and no difference in SEM integrity between groups at CMR margins.

